Individual
LATONYA BILLUPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
2218 W 32ND ST, JOPLIN, MO 64804-3514
(205) 343-7300
(205) 722-5335
Mailing address
50 S B B KING BLVD STE 100, MEMPHIS, TN 38103-2626
(901) 436-1381
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2016001665
MO
363LG0600X
Gerontology Nurse Practitioner
AG1115069
MO
Other
Enumeration date
06/01/2017
Last updated
06/01/2022
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